Jersey Shore Therapies

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JERSEY SHORE THERAPIES

Practice address

503 Brick Blvd Ste 108
Brick, NJ 08723-6097

Phone

(978) 407-2839

NPI assigned

Jan 16, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John Badenhausen, MA, LPC, ACSNPI 1679627509

Title

Owner

Phone

(978) 407-2839

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Badenhausen, MA

  • Mental Health Counselor
  • Brick, NJ
  • NPI 1679627509
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1780158378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BRICK BLVD STE 108",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236097",
            "telephone_number": "978-407-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BRICK BLVD STE 108",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236097",
            "telephone_number": "978-407-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SHORE THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "BADENHAUSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-407-2839",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey Coast Vascular Associates PA
• Jersey Coast Vein and Laser Center LLC
• Jersey Shore Eyecare
• Jersey Shore Rejuvination Center, LLC
• Jersey Shore Speech Therapy LLC
• Samir C. Jethwa, DO
• JF Healthcare LLC
• Jody Rodman MSW LCSW LLC
• John E Bell DDS
• John H. Fagioli, DMD, PA.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brick, NJ
• Providers in Brick, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.